These addiction recovery programs are designed to support Indigenous individuals in recovery by honoring culture, spirituality, and community.
From sweat lodges to equine therapy, the services offered aim to treat the whole person, mind, body, and spirit.
Note: These treatment centers are listed alphabetically, not ranked. All were chosen for their accreditations, reputation, and variety of Native healing services.
1. American Indian Changing Spirits Recovery Program – Long Beach, California
American Indian Changing Spirits offers a culturally grounded residential program for Native Americans seeking recovery from substance use.
The rehab center blends evidence-based therapy with Indigenous healing, ensuring treatment addresses both clinical and spiritual needs.
Clients participate in group counseling, relapse-prevention classes, and cultural education that reinforces identity and community connection.
Traditional healing ceremonies and talking circles are integrated throughout treatment, guided by professionals experienced in serving Native populations.
The program’s focus on cultural pride and holistic recovery creates a nurturing space where participants can rebuild their lives with dignity and purpose.
Address: 2120 W Williams St, Long Beach, CA 90810
Phone: (562) 388-8118
Website: americanindianchangingspirits.org
2. Central Valley Indian Health – Fresno, California
Central Valley Indian Health delivers outpatient counseling and behavioral-health services through a culturally responsive lens. Its programs integrate traditional values with modern therapy, helping clients and families manage addiction, trauma, and co-occurring issues.
Treatment may include individual and family counseling, relapse-prevention planning, and wellness education grounded in Native perspectives.
Staff are trained to recognize historical and generational trauma and support clients with compassion and respect for cultural identity.
Services are offered both in person and via telehealth, extending access to individuals and families across California’s Central Valley.
Address: 2740 Herndon Ave, Clovis, CA 93611
Phone: (559) 299-2608
Website: cvihs.org
3. Native American Connections – Phoenix, Arizona
Native American Connections operates residential and outpatient programs that blend clinical treatment with Native cultural traditions.
Clients receive trauma therapy, mental health support, and wellness services while participating in traditional practices such as talking circles, sweat lodges, and smudging ceremonies.
The organization’s holistic model promotes physical, emotional, and spiritual restoration through community and culture. Programs are open to all Indigenous peoples and emphasize reconnecting with heritage as part of healing.
With deep roots in the Phoenix area, Native American Connections provides a supportive environment where recovery and identity strengthen one another.
Address: 3216 N 3rd St, Phoenix, AZ 85012
Phone: (602) 424-2060
Website: nativeconnections.org
4. Native American Rehabilitation Association of the Northwest – Portland, Oregon
NARA-NW offers culturally informed addiction and mental health treatment for Native American and Alaska Native individuals and families.
Programs include residential and outpatient care supported by traditional healing methods and community involvement.
Clients engage in individual counseling, group therapy, and cultural activities such as drumming, sweat lodges, and equine-assisted therapy for youth. NARA also provides housing assistance, primary health care, and family support services.
Rooted in Indigenous values of respect, connection, and balance, NARA helps clients restore wellness through both cultural and clinical healing paths.
Address: 211 SE Caruthers St, Portland, OR 97214
Phone: (503) 224-1044
Website: naranorthwest.org
5. Northwest Indian Treatment Center – Elma, Washington
Operated by the Squaxin Island Tribe, Northwest Indian Treatment Center provides residential care for adults addressing substance use and co-occurring mental-health disorders.
The program emphasizes traditional Indigenous healing through drumming, sweat-lodge ceremonies, storytelling, and cultural foods, alongside trauma-informed counseling and relapse-prevention education.
Residents participate in daily routines that strengthen community and self-discipline, helping them reconnect to identity and heritage while developing skills for lifelong recovery.
Address: 308 E Young St, Elma, WA 98541
Phone: (360) 482-2674
Website: squaxinisland.org
6. Royal Life Centers – Spokane Heights, Washington
Royal Life Centers offers a Wellbriety-certified track designed specifically for Native American clients. The program merges traditional teachings with modern addiction treatment to promote healing through cultural reconnection.
Clients participate in ceremonies, talking circles, and other culturally guided practices alongside evidence-based therapies for trauma, substance use, and mental-health recovery.
The Spokane Heights campus provides detox, residential care, and continuing support, ensuring continuity through every stage of recovery.
Address: 524 E Francis Ave, Spokane, WA 99208
Phone: (888) 907-0898
Website: royallifecenters.com
7. Safe and Sound Treatment – Costa Mesa, California
Safe and Sound Treatment, in partnership with Generation Red Road, provides addiction care that centers on Indigenous healing values.
The recovery program integrates cognitive-behavioral and dialectical-behavior therapies with spiritual practices like prayer, smudging, and ceremony.
Clients work toward sobriety and emotional balance by reconnecting with tribal identity and community principles. Each treatment plan is individualized and supported by culturally competent staff experienced in guiding Native clients.
The result is a recovery experience that nurtures self-awareness, belonging, and long-term healing.
Address: 3151 Airway Ave, Ste L2, Costa Mesa, CA 92663
Phone: (949) 506-4587
Website: safesoundtreatment.com
8. Seven Arrows Recovery – Elfrida, Arizona
Set on 160 acres of desert land, Seven Arrows Recovery blends Native American spirituality with clinical treatment for substance use and co-occurring disorders.
Clients participate in sweat lodges, equine-assisted therapy, mindfulness exercises, and traditional ceremonies while receiving evidence-based counseling and trauma therapy.
The tranquil setting encourages spiritual connection, personal reflection, and transformation, aligning Indigenous healing with modern recovery science.
Address: 2491 W Jefferson Rd, Elfrida, AZ 85610
Phone: (866) 986-2550
Website: sevenarrowsrecoveryarizona.com
9. Thunderbird Treatment Center (Seattle Indian Health Board) – Seattle, Washington
Thunderbird Treatment Center provides inpatient care for urban Native populations using a culturally guided, trauma-informed model. The program focuses on opioid and fentanyl addiction treatment while promoting community and cultural restoration.
Currently transitioning to a new facility on Vashon Island (opening 2026), Thunderbird will expand residential capacity and offer comprehensive healing rooted in traditional practice.
Clients engage in clinical therapy, wellness education, and ceremonies that strengthen cultural identity and spiritual well-being.
Address: Vashon Island, WA (contact SIHB for details)
Phone: (206) 324-9360
Website: sihb.org
10. Tule River Alcoholism Program – Porterville, California
Operated by the Tule River Tribe, TRAP provides outpatient and community-based recovery programs grounded in tribal traditions.
Services include group therapy, relapse-prevention classes, and family education, all guided by respect for cultural teachings and spiritual healing.
By integrating counseling with traditional ceremonies and community support, TRAP helps participants rebuild balance, purpose, and connection to their heritage.
Address: 1012 N Reservation Rd, Porterville, CA 93257
Phone: (559) 781-8797
Website: tulerivertribe-nsn.gov/trap/
What To Expect From Rehab Centers For Native Americans In The U.S.
Rehab centers for Native Americans go beyond standard addiction treatment by focusing on the unique cultural, spiritual, and historical needs of Indigenous individuals.
These treatment centers often combine conventional therapies with tribal healing practices, helping clients address trauma, rebuild community connections, and reclaim cultural identity.
Many programs understand the deep impact of intergenerational trauma and systemic challenges and reflect this in their care models.
Expect a compassionate, community-centered approach that respects tradition and supports lasting recovery with the following treatments:
- Sweat lodges, smudging, and traditional ceremonies
- Group and individual counseling
- Trauma-informed therapies
- Spiritual guidance and community support
- Holistic practices including equine therapy, nature immersion, and mindfulness
Native Americans can find a respectful treatment environment that prioritizes both recovery and cultural reconnection.
How To Choose a Rehab Center For Native Americans
Choosing a rehab center is a critical step on the path to addiction recovery, and for Native Americans, that choice must reflect cultural understanding and holistic care.
Not all treatment programs are equipped to address the needs of Indigenous individuals, especially when it comes to spiritual healing, tribal traditions, and historical trauma.
A strong rehab center will offer integrated care that respects identity while providing the clinical support necessary for long-term sobriety.
The right program can foster resilience, connection, and meaningful healing through a culturally appropriate lens. Here’s what to look for in a rehab center for Native Americans:
- Culturally appropriate treatment: Includes traditional practices and a deep understanding of tribal values.
- Qualified staff: Trained in addiction treatment and cultural competence.
- Accreditations: Look for CARF or Joint Commission accreditation along with state licensure and certifications from credible national or state organizations.
- Holistic treatment options: Programs should offer mind-body-spirit healing that incorporates experiential treatments.
- Aftercare: Plans should include community support and follow-up services that help you maintain sobriety after the main program has ended.
How We Chose Native American Rehab Centers For This List
Selecting the best treatment centers for Native American communities required evaluating programs that balance cultural authenticity with clinical excellence.
Our focus was on facilities that honor Indigenous healing traditions while offering evidence-based, trauma-informed care.
We prioritized programs that:
- Licensing and accreditation. Maintain official licensing or accreditation through recognized health-care organizations to ensure safety and quality.
- Culturally competent staff. Employ addiction professionals and culturally knowledgeable facilitators who understand the historical and intergenerational factors influencing substance use.
- Integrated programming. Combine detox, therapy, spiritual care, and aftercare, embedding traditional practices such as talking circles, sweat lodges, or drumming into recovery models.
- Transparency. Clearly communicate program details, eligibility, and costs so clients can make informed choices.
- Community reputation. Demonstrate trust and positive outcomes within Native communities, supported by testimonials and long-standing relationships.
These standards highlight programs where cultural reconnection and clinical recovery work together to restore wellness, dignity, and balance.
Next Steps In Finding A Rehab Center For Native Americans
Finding the right Native rehab program is rarely a one-size-fits-all process. Each person’s journey to healing is deeply personal, and taking the time to explore options ensures a better fit and greater long-term success.
You or your loved one can find the right rehab center that reflects both your cultural and clinical needs. Reach out directly to the facilities you’re interested in and ask questions about daily schedules, staff credentials, and how they incorporate cultural values into treatment.
Be sure to ask about practical matters, too, such as insurance acceptance, waitlists, transportation support, and aftercare services.
You can also continue browsing this directory to discover more addiction treatment centers that meet your specific goals and background.
Rehab Centers for Native Americans FAQs
What does a rehab center for Native Americans mean?
It refers to a treatment center that offers culturally specific services for Native Americans. These programs recognize the importance of heritage, spiritual healing, and community in recovery.
How is addiction treatment for Native Americans different from traditional addiction treatment?
While both use evidence-based therapies, Native-focused rehab centers include traditional healing practices and cultural teachings. This holistic approach supports identity and spiritual health alongside sobriety.
What types of therapies are used in rehab centers for Native Americans?
Therapies include group and individual counseling, trauma-informed care, traditional ceremonies, equine therapy, and nature-based healing. Programs often blend Western clinical tools with Indigenous wisdom.
Who benefits most from addiction treatment for Native Americans?
Native individuals seeking recovery within a culturally supportive and trauma-informed setting. Those disconnected from their roots may especially benefit from the cultural reconnection offered.
Are rehab centers for Native Americans evidence-based?
Yes, most combine evidence-based practices like CBT and medication-assisted treatment with cultural interventions. Studies show that culturally tailored programs improve engagement and outcomes.
- Indian Health Service
https://www.ihs.gov/asab/ - Indian Health Service
https://www.ihs.gov/mspi/bppinuse/treatmentbp/ - National Center for Biotechnology Information (NCBI)
https://www.ncbi.nlm.nih.gov/sites/books/NBK568685/ - Substance Abuse and Mental Health Services Administration (SAMHSA)
https://www.samhsa.gov/communities/tribal-affairs/oiasa

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